Adam Michalak, MD
Radiology, Diagnostic Radiology in Marietta, GA. Individual provider (NPI-1).
NPI number1417513664
StatusActive
Last updated in NPPESJun 25, 2025
Details
- NPI
- 1417513664
- Entity type
- Individual (NPI-1)
- Name
- Adam Michalak
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 14, 2019
- Certification date
- Jun 25, 2025
- Last updated
- Jun 25, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 98778 | GA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
790 Church St Ne Ste 400Marietta, GA 30060-8957
Phone 678-239-0420
Mailing address
790 Church St Ne Ste 400Marietta, GA 30060-8957
Phone 678-239-0420
Other practice locations
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